Apply for a Position in Valdosta, GAAgri Supply Company/Direct Distributors, Inc.

An Equal Opportunity Employer

This Company does not discriminate in hiring or employment on the basis of race, color, sex, religion or national origin nor on the basis of age with respect to persons 18 years or older. No question on this application is intended to secure information to be used for such discrimination. Proof of identity and work authorization will be required upon employment in accordance with federal regulations. We advise that we intend to check and hold you responsible for the accuracy of the Statements you make on this application. This application will receive consideration for thirty (30) days. If you have not heard from the company within thirty days and wish to receive further consideration for employment, it will be necessary to complete another application form.

Applicant Personal Information

Note: We don't ask for your SSN online. If you are contacted for an interview, you will be expected to provide it then, thank you.

First Name *

Middle Name

Last Name *

Address *

City *

State *

Zip Code *

Phone Number *

Age 18 or Older? *

U.S. Citizen? *

If you are not a U.S. Citizen, can you legally work in the U.S.? *

Position Applying For

Note: If there are no positions available in the dropdown, you may submit your application for general review.

Employment Information

Salary Desired

Are you employed now?

If so, may we contact your present employer?

Have you ever applied here before?

Have you ever worked for this company or one of our related companies?

If you answered yes to either of the above, please tell us when and where

Is there any circumstance that you know of that would prevent you from working standard operating hours? (varies per location: 7am - 7pm, Monday - Saturday)

Referred By

Date you can report to work

Work History

All information must be completed in its entirety for consideration. List your last 4 employers, starting with the most recent, thank you.

Employer 1

Employed From

Employed To

Address

City

State

Zip Code

Phone Number

Supervisor

Starting Pay

Ending Pay

Positions Held, Duties

Reason For Leaving

Employer 2

Employed From

Employed To

Address

City

State

Zip Code

Phone Number

Supervisor

Starting Pay

Ending Pay

Positions Held, Duties

Reason For Leaving

Employer 3

Employed From

Employed To

Address

City

State

Zip Code

Phone Number

Supervisor

Starting Pay

Ending Pay

Positions Held, Duties

Reason For Leaving

Employer 4

Employed From

Employed To

Address

City

State

Zip Code

Phone Number

Supervisor

Starting Pay

Ending Pay

Positions Held, Duties

Reason For Leaving

Skills

Please list job related skills which you possess that would be beneficial for this job

Please list any knowledge, special technical or computer skills, and/or qualifications that you have acquired from employment or other experience

Educational Background

Select the highest level in a grade, junior or high school which you have achieved.

1
2
3
4
5
6
7
8
9
10
11
12

Select the highest level in a college or technical school which you have achieved.

1
2
3
4
5

Name of School

Location

Major Studies

Did you graduate?

Name of Tech or Trade School

Location

Major Studies

Did you graduate?

Name of College

Location

Major Studies

Did you graduate?

Location

Major Studies

Did you graduate?

Location

Major Studies

Did you graduate?

Please list degrees and special skills

References

Give three references who are not relatives or former employers

Name

Phone Number

Occupation

Name

Phone Number

Occupation

Name

Phone Number

Occupation

Affidavit

I authorize without liability, investigation of all statements in this application. I understand that in the event of my employment by the company, it shall be sufficient cause for dismissal if any of the information I have provided in this application is false. I understand that proof of identity and work authorization will be required upon employment in compliance with federal regulations. Until such time as I am called in to meet with the employer and asked to sign a printed affidavit, by typing my name and the date below, I am electronically signing and bound to all statements made on this online application.

Your full legal name as electronic signature

Date (ex. June 3rd, 2007)

Submit Application

By submitting this online application, I confirm all information submitted is accurate to the best of my ability. I acknowledge that there will be additional paperwork for me to complete and sign should I be asked in for an interview. I am providing my email address for a copy of my completed application to be sent to me.